Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.52 / $378.52 / $547.04	Facility		$378.52	$378.52	$547.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.52 / $386.24 / $441.26	Professional		$378.52	$386.24	$441.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $463.60 / $741.76 / $1,701.41	Facility		$463.60	$741.76	$1,701.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.23 / $385.47 / $730.45	Professional		$192.23	$385.47	$730.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $649.04 / $718.58 / $908.66	Facility		$649.04	$718.58	$908.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.47 / $208.25 / $208.25	Professional		$157.47	$208.25	$208.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.34 / $428.36 / $509.96	Professional		$98.34	$428.36	$509.96
United Facility/Professional Professional Modifier Low / Median / High Price $231.28 / $463.32 / $664.88	Professional		$231.28	$463.32	$664.88